Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Urbana, OH — inpatient

In Urbana, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $945.00 to $945.00, with a median of $945.00. Across Ohio, the median is $374.43 at 90 hospitals.

Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$945.00Mercy Health - Urbana Hospital
Median$945.00half pay less
Highest$945.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Health - Urbana Hospital Urbana, OH · (937) 653-5231 HC Cath/Intro Sal Cont Hyst $945.00 $1,575.00 — 40% —
source file

Inpatient: lowest $945.00, median $945.00, highest $945.00.

As an outpatient, the same code is billed by 1 facility here, median $945.00 — that is the price to compare if you are not being admitted.

What it is

An HSG is an X-ray test that checks whether the fallopian tubes are open and the uterus has a normal shape. Dye is injected through the cervix while X-rays are taken.

What the price covers

The price covers the injection. The X-ray imaging is usually billed separately.